Complaint Investigation Report

their food with no one present to witness or assist. Therefore, the allegation that

residents are not properly supervised is SUBSTANTIATED.

Regarding the allegation that staff do not administer medications to residents as

prescribed by physician, on 2/18/2022 LPA Tryon visited the facility to work on the

complaint. While there, LPA met with Angelica Rothhaupt, Wellness Director. Ms.

Rothhaupt and LPA did a medication review of 4 of 20 residents. In reviewing

medications present, MARS and daily computer Medication Logs, it was found that

there were two PRN (as needed) medications for resident R4 that were noted on

medication orders, but the medications were not present in the medication supply.

Therefore, if the resident had ever needed those 2 medications, the facility did not have

them available to give to R4 as prescribed. The allegation is SUBSTANTIATED.

A finding that an allegation is substantiated means that the allegation is valid because a

preponderance of the evidence standard has been met.

The following deficiencies are cited as per Title 22 Regulations. Appeal rights were